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Mycobacterium chelonae empyema with bronchopleural fistula in an immunocompetent patient.

Wali S - Ann Thorac Med (2009)

Bottom Line: M chelonae more commonly causes skin and soft tissue infections primarily in immunosuppressed individuals.Thoracic empyema caused by rapidly growing mycobacteria and complicated with bronchopleural fistula is rarely reported, especially in immunocompetent patients.In this article we report the first immunocompetent Arabian patient presented with M chelonae- related empyema with bronchopleural fistula which mimics, clinically and radiologically, empyema caused by Mycobacterium tuberculosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, College of Medicine, King Abdulaziz University, Jeddah - 215 89, Saudi Arabia. bintashfeen@yahoo.com

ABSTRACT
Mycobacterium chelonae is one of the rapidly growing mycobacteria that rarely cause lung disease . M chelonae more commonly causes skin and soft tissue infections primarily in immunosuppressed individuals. Thoracic empyema caused by rapidly growing mycobacteria and complicated with bronchopleural fistula is rarely reported, especially in immunocompetent patients. In this article we report the first immunocompetent Arabian patient presented with M chelonae- related empyema with bronchopleural fistula which mimics, clinically and radiologically, empyema caused by Mycobacterium tuberculosis.

No MeSH data available.


Related in: MedlinePlus

Computed tomography of the chest revealed marked collapse of the right lung, ipsilateral shift of mediastinum with bronchiectatic changes within the collapsed lung. It also showed thick and calcified rind, loculated pleural effusion with air-fluid level and right sided rib thickening. The left lung parenchyma was normal
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Figure 0001: Computed tomography of the chest revealed marked collapse of the right lung, ipsilateral shift of mediastinum with bronchiectatic changes within the collapsed lung. It also showed thick and calcified rind, loculated pleural effusion with air-fluid level and right sided rib thickening. The left lung parenchyma was normal

Mentions: Complete blood count showed normochromic normocytic anemia of 10.7g /dl otherwise normal. Both liver and renal function tests were normal. Erythrocyte sedimentation rate was 100. Human immunodeficiency virus serology was negative. Chest radiography showed severe scoliosis with lucency and an air-fluid level within dense lenticular pleural calcifications on the right hemithorax. Computed Tomography (CT) of the chest revealed marked collapse of the right lung with ipsilateral shift of the mediastinum. There were right sided thick and calcified rind, loculated pleural effusion with air-fluid level and rib thickening[Figure 1]. Normal left lung parenchyma.


Mycobacterium chelonae empyema with bronchopleural fistula in an immunocompetent patient.

Wali S - Ann Thorac Med (2009)

Computed tomography of the chest revealed marked collapse of the right lung, ipsilateral shift of mediastinum with bronchiectatic changes within the collapsed lung. It also showed thick and calcified rind, loculated pleural effusion with air-fluid level and right sided rib thickening. The left lung parenchyma was normal
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2801048&req=5

Figure 0001: Computed tomography of the chest revealed marked collapse of the right lung, ipsilateral shift of mediastinum with bronchiectatic changes within the collapsed lung. It also showed thick and calcified rind, loculated pleural effusion with air-fluid level and right sided rib thickening. The left lung parenchyma was normal
Mentions: Complete blood count showed normochromic normocytic anemia of 10.7g /dl otherwise normal. Both liver and renal function tests were normal. Erythrocyte sedimentation rate was 100. Human immunodeficiency virus serology was negative. Chest radiography showed severe scoliosis with lucency and an air-fluid level within dense lenticular pleural calcifications on the right hemithorax. Computed Tomography (CT) of the chest revealed marked collapse of the right lung with ipsilateral shift of the mediastinum. There were right sided thick and calcified rind, loculated pleural effusion with air-fluid level and rib thickening[Figure 1]. Normal left lung parenchyma.

Bottom Line: M chelonae more commonly causes skin and soft tissue infections primarily in immunosuppressed individuals.Thoracic empyema caused by rapidly growing mycobacteria and complicated with bronchopleural fistula is rarely reported, especially in immunocompetent patients.In this article we report the first immunocompetent Arabian patient presented with M chelonae- related empyema with bronchopleural fistula which mimics, clinically and radiologically, empyema caused by Mycobacterium tuberculosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, College of Medicine, King Abdulaziz University, Jeddah - 215 89, Saudi Arabia. bintashfeen@yahoo.com

ABSTRACT
Mycobacterium chelonae is one of the rapidly growing mycobacteria that rarely cause lung disease . M chelonae more commonly causes skin and soft tissue infections primarily in immunosuppressed individuals. Thoracic empyema caused by rapidly growing mycobacteria and complicated with bronchopleural fistula is rarely reported, especially in immunocompetent patients. In this article we report the first immunocompetent Arabian patient presented with M chelonae- related empyema with bronchopleural fistula which mimics, clinically and radiologically, empyema caused by Mycobacterium tuberculosis.

No MeSH data available.


Related in: MedlinePlus